Barun Kumar Dey

Priya

Aamir Alvi

I found the answers provided by the Dr. Gopala Krishnam Raju Ambati to be well-reasoned. thanks a lot doctor! this is perhaps only suggestion. is there a suggestion about diet?

Banu Mohan

Dec 5, 2016

I found the answers provided by the Dr. Gopala Krishnam Raju Ambati to be very helpful. I will follow

Shankar

Dec 3, 2016

I found the answers provided by the Dr. Gopala Krishnam Raju Ambati to be very helpful and practical. thanks

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Shared 3 days ago • Featured Tip

For the study, Dr. Garg and colleagues looked at data from 53, 454 participants in the nlst and identified 5, 174 participants who reported having diabetes at screening.

They conducted an analysis of the relative risk for overall mortality, lung cancer mortality, and non-lung cancer mortality associated with diabetes, adjusting for age, gender, body mass index (bmi), and pack-years of smoking. Over the course of the study, there were 3, 936 total deaths, including 1, 021 from lung cancer and 826 from cancers not of the lung.

Participants with diabetes tended to be older, reported more pack-years of smoking, and had a higher bmi than those without diabetes. There were 650 deaths (12.6 percent of patients) among participants with diabetes and 3, 286 deaths (6.8 percent of patients) among participants without diabetes.

" we found that diabetes doubles the risk for all-cause mortality and non-lung cancer mortality among heavy smokers" Dr. Garg said" we also found that women with diabetes have an increased risk of lung-cancer mortality, but did not find the same effect in men"

The researchers continue to analyze data in an effort to better understand the underlying cause. In the meantime, Dr. Garg emphasizes the importance of taking control of diabetes and undergoing lung cancer screening if you're a smoker.

" patients have to take care of their diabetes to maximize the benefit of ct screening for lung cancer" she said" it truly makes a magnitude of difference in mortality risk"">

While it is well known that smoking causes lung cancer, heavy smokers with diabetes are also at increased risk of death from causes other than lung cancer, according to a study being presented next week at the annual meeting of the radiological society of north america (rsna).

Diabetes is a chronic illness in which there are high levels of glucose in the blood. More than 29 million people in the u. S. Have diabetes, up from the previous estimate of 26 million in 2010, according to a report released by the centers for disease control and prevention. One in four people with diabetes doesn't know he or she has it. Having diabetes can also put people at risk for numerous other health complications.

To determine the extent to which diabetes is associated with deaths from lung cancer, other cancers, and other causes among heavy smokers, researchers examined the risk for all-cause mortality among people with and without diabetes within the national lung screening trial (nlst), a massive, multicenter trial that compared low-dose helical ct with chest x-ray for early detection of lung cancer in current and former heavy smokers.

" in our study, we found a statistically significant link between diabetes and all-cause deaths, non-lung cancer deaths and lung cancer deaths in women" said kavita garg, m. D, professor of radiology from the university of colorado -- denver.

For the study, Dr. Garg and colleagues looked at data from 53, 454 participants in the nlst and identified 5, 174 participants who reported having diabetes at screening.

They conducted an analysis of the relative risk for overall mortality, lung cancer mortality, and non-lung cancer mortality associated with diabetes, adjusting for age, gender, body mass index (bmi), and pack-years of smoking. Over the course of the study, there were 3, 936 total deaths, including 1, 021 from lung cancer and 826 from cancers not of the lung.

Participants with diabetes tended to be older, reported more pack-years of smoking, and had a higher bmi than those without diabetes. There were 650 deaths (12.6 percent of patients) among participants with diabetes and 3, 286 deaths (6.8 percent of patients) among participants without diabetes.

" we found that diabetes doubles the risk for all-cause mortality and non-lung cancer mortality among heavy smokers" Dr. Garg said" we also found that women with diabetes have an increased risk of lung-cancer mortality, but did not find the same effect in men"

The researchers continue to analyze data in an effort to better understand the underlying cause. In the meantime, Dr. Garg emphasizes the importance of taking control of diabetes and undergoing lung cancer screening if you're a smoker.

" patients have to take care of their diabetes to maximize the benefit of ct screening for lung cancer" she said" it truly makes a magnitude of difference in mortality risk"

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For the study, Dr. Garg and colleagues looked at data from 53, 454 participants in the nlst and identified 5, 174 participants who reported having diabetes at screening.

They conducted an analysis of the relative risk for overall mortality, lung cancer mortality, and non-lung cancer mortality associated with diabetes, adjusting for age, gender, body mass index (bmi), and pack-years of smoking. Over the course of the study, there were 3, 936 total deaths, including 1, 021 from lung cancer and 826 from cancers not of the lung.

Participants with diabetes tended to be older, reported more pack-years of smoking, and had a higher bmi than those without diabetes. There were 650 deaths (12.6 percent of patients) among participants with diabetes and 3, 286 deaths (6.8 percent of patients) among participants without diabetes.

" we found that diabetes doubles the risk for all-cause mortality and non-lung cancer mortality among heavy smokers" Dr. Garg said" we also found that women with diabetes have an increased risk of lung-cancer mortality, but did not find the same effect in men"

The researchers continue to analyze data in an effort to better understand the underlying cause. In the meantime, Dr. Garg emphasizes the importance of taking control of diabetes and undergoing lung cancer screening if you're a smoker.

" patients have to take care of their diabetes to maximize the benefit of ct screening for lung cancer" she said" it truly makes a magnitude of difference in mortality risk"">

Shared 3 days ago • Featured Tip

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.A bowl of brown riceBrown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

Bring rice and water to a boil in an uncovered pot Cover the pot and simmer for about 20 minutes Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:1. Cauliflower" rice"

Ingredients:

Oil Onions Cauliflower Lemon Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.">

Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

Make healthy choices in eating
Engage in regular physical activity or exercise
Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

Bring rice and water to a boil in an uncovered pot
Cover the pot and simmer for about 20 minutes
Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

Oil
Onions
Cauliflower
Lemon
Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

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White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.A bowl of brown riceBrown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

Bring rice and water to a boil in an uncovered pot Cover the pot and simmer for about 20 minutes Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:1. Cauliflower" rice"

Ingredients:

Oil Onions Cauliflower Lemon Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.">

The benefits of regular physical activity are:
Lower blood glucose levels
Better response to insulin
Strengthened heart activity
Improved blood circulation
Lowered cholesterol
Improved physical fitness
Feeling better
People of all ages should include a minimum of 30 minutes of physical activity of moderate intensity on most, if not all, days of the week. A regimen of physical activity must be planned judiciously when diabetes complications are present.
How to get started
Look for an activity that you enjoy.
Make sure it's right for your current level of fitness.
Walking may be a good way to get started. It is convenient and low in cost. All you need to get started are cotton socks and a pair of supportive shoes that fit well.
What will a complete exercise plan look like
Flexibility - stretch before you exercise.
Resistance Training - this includes lifting light weights to build calorie-burning muscle mass.
Aerobic activity - walking, dancing, swimming or biking to burn calories and reduce heart risk.
How to keep going
Make walking or your other exercise activities part of your daily routine.
Finding someone to walk or exercise with can help make your workout more enjoyable. When exercise is enjoyable and social, it is its own reward. This may help you stay motivated.
Know that everyone's exercise plans lapse occasionally. Instead of being discouraged, use this time as an opportunity of review your goals. Try to recommit as soon as possible to an enjoyable and healthy level of activity.
Calories Burned During Common Activies
Activity Cal/Min Cal/Hr
Housecleaning, Child care, Bowling, Walking {<3 mph} 3-4 180-240
Walking {4mph}, Golf {pulling cart}, Cycling {6mph}, dancing {general}, Table Tennis 4-5 240-300
Cycling {8mph}, Tennis {doulbes}, Golf {carring clubs}, Aerobics {lowimpact}, Badminton {general}, Gardening 5-6 300-360
Cycling {10mph}, Dancing {fast}, Swimming {light}, Basketball {general} 6-7 360-420
Cycling {11mph}, Water Skiing, Tennis {singles}, Basketball {general} 7-8 420-480
Jogging {5mph}, Cycling {12mph}, Aerobics {high impact}, Football {general}, Walking {upstairs}, Swimming {moderate} 8-10 480-600
Running {5 1/2mph}, Cycling {13mph}, Rope jumping 10-11 600-660
Running {6mph}, Karate, Judo, Swimming {vigorous} 11 or more 660 or more
Remember to check with your healthcare team before beginning an exercise routine, {1 mile=1.60934 km}
Staying safe
Check with your doctor before beginning to exercise.
Start slowly. Five or ten minutes a day is a good beginning if you have been very inactive.
Wear comfortable, supportive shoes and cotton socks. Check your feet after exercise for any signs of poor fit or injury.
Carry a diabetes identification card.
Check your blood sugar before and after exercise. This is especially important for anyone who takes insulin, a sulfonylurea or a meglitinide. These medicines may create risk for low blood sugar.
Carry something to eat that contains glucose. Use it to prevent or treat low blood sugar if needed.
Stretch and warm up at the beginning of your activity. This helps prevent injuries.
Drink more liquids that contain no calories, like water, when exercising.
If you have leg or chest pains during exercise, stop exercising and call your doctor.
Avoid exercising if your fasting blood sugar is above 300 mg/dL (16.7 mmol/L) or under 70 mg/dL (3.9 mmol/L).

Healthy sleep habits can make a big difference in your quality of life. Having healthy sleep habits is often referred to as having good sleep hygiene. Try to keep the following sleep practices on a consistent basis:
Stick to a sleep schedule of the same bedtime and wake up time, even on the weekends. This helps to regulate your body's clock and could help you fall asleep and stay asleep for the night.
Practice a relaxing bedtime ritual. A relaxing, routine activity right before bedtime conducted away from bright lights helps separate your sleep time from activities that can cause excitement, stress or anxiety which can make it more difficult to fall asleep, get sound and deep sleep or remain asleep.
If you have trouble sleeping, avoid naps, especially in the afternoon. Power napping may help you get through the day, but if you find that you can't fall asleep at bedtime, eliminating even short catnaps may help.
Exercise daily. Vigorous exercise is best, but even light exercise is better than no activity. Exercise at any time of day, but not at the expense of your sleep.
Evaluate your room. Design your sleep environment to establish the conditions you need for sleep. Your bedroom should be cool â between 60 and 67 degrees. Your bedroom should also be free from any noise that can disturb your sleep. Finally, your bedroom should be free from any light. Check your room for noises or other distractions. This includes a bed partner's sleep disruptions such as snoring. Consider using blackout curtains, eye shades, ear plugs, "white noise" machines, humidifiers, fans and other devices.
Sleep on a comfortable mattress and pillows. Make sure your mattress is comfortable and supportive. The one you have been using for years may have exceeded its life expectancy â about 9 or 10 years for most good quality mattresses. Have comfortable pillows and make the room attractive and inviting for sleep but also free of allergens that might affect you and objects that might cause you to slip or fall if you have to get up.

U be on simple metformin 1gm twice daily start exercise for half an hour which your not doing
just changing tab and using as you like upon your logical decision is wrong only exercise and weight loss can help you :)

uric acid is produced when the body breaks down a chemical called purine. Purine occurs naturally in your body, but it's also found in certain foods. Uric acid is eliminated from the body in urine.
A gout diet may help decrease uric acid levels in the blood. While a gout diet is not a cure, it may lower the risk of recurring painful gout attacks and slow the progression of joint damage. Medication also is needed to manage pain and to lower levels of uric acid.
Purpose
a little history
selected seafood. Avoid the following types of seafood, which are higher in purines than others: anchovies, herring, sardines, mussels, scallops, trout, haddock, mackerel and tuna.
Alcohol. The metabolism of alcohol in your body is thought to increase uric acid production, and alcohol contributes to dehydration. Beer is associated with an increased risk of gout and recurring attacks, as are distilled liquors to some extent. The effect of wine is not as well-understood. If you drink alcohol, talk to your doctor about what is appropriate for you.
Vitamin c. Vitamin c may help lower uric acid levels. Talk to your doctor about whether a 500-milligram vitamin c supplement fits into your diet and medication plan.
Coffee. Some research suggests that moderate coffee consumption may be associated with a reduced risk of gout, particularly with regular caffeinated coffee. Drinking coffee may not be appropriate for other medical conditions. Talk to your doctor about how much coffee is right for you.
Cherries. There is some evidence that eating cherries is associated with a reduced risk of gout attacks.
A sample menu
here's a look at what you might eat during a typical day on a gout diet:
breakfast
whole-grain, unsweetened cereal with skim or low-fat milk
1 cup fresh strawberries
coffee
water
lunch
roasted chicken breast slices (2 ounces) on a whole-grain roll with mustard
mixed green salad with balsamic vinegar and olive oil dressing
skim or low-fat milk
water
afternoon snack
1 cup fresh cherries
water
dinner
roasted salmon (3-4 ounces)
roasted or steamed green beans
1/2 cup whole-grain pasta with olive oil and lemon pepper
water
low-fat yogurt
1 cup fresh melon
caffeine-free beverage, such as herbal tea.

The moment we get diagnosed with diabetes, our minds cringe in fear by the thought of all the restraint on our life, especially diet, which would be imposed on us for a lifetime, taking away the joy from celebrations and fun eat out sessions etc.
Diet management is of utmost importance in diabetes not only to control blood sugar levels but also to keep other risks such as body weight and heart risk factors at bay. People with HbA1c levels mild to moderately elevated (<7.5%) at diagnosis, may be advised to take a diet and lifestyle modification trial before they are put on any drugs and some of these people will be able to control their diabetes/pre-diabetes for a significant amount of time without drugs. Even for people on drugs or insulin diet and lifestyle management is equally important. Therefore, dietary modifications to manage risk factors for CVD are very important in diabetics. These modifications include controlling the intake of salt and ‘bad’ fats in your diet, and the recommended levels of intake are lower than those in general population
Diabetics in general are often advised even by their doctors and dieticians, some times, to consume ‘low fat’ diet to manage their heart risk. But In India, where average intake of carbs is much higher than recommended intake of fat, for most people, such an advice is not only erroneous, it is harmful! (Read: Indian diet: ‘pro’s and ‘con’s, to know more)
Instead what is needed is to replace the ‘bad’ fats, present in high quantities in vanaspati (found in snack items and restaurant/ fast food meals etc.), full cream milk, butter, ghee and red meat (but not mutton: read more), with vegetable oils (such as olive, canola, rice bran etc. But not coconut and palm oil)

The moment we get diagnosed with diabetes, our minds cringe in fear by the thought of all the restraint on our life, especially diet, which would be imposed on us for a lifetime, taking away the joy from celebrations and fun eat out sessions etc.
Diet management is of utmost importance in diabetes not only to control blood sugar levels but also to keep other risks such as body weight and heart risk factors at bay. People with HbA1c levels mild to moderately elevated (<7.5%) at diagnosis, may be advised to take a diet and lifestyle modification trial before they are put on any drugs and some of these people will be able to control their diabetes/pre-diabetes for a significant amount of time without drugs. Even for people on drugs or insulin diet and lifestyle management is equally important.
But, the evidence based medical advice, on diet for diabetics, is not that restrictive and allows a lot of room for having fun with food! All the expert agencies on diabetes in the world, such as ADA, AACE, IDF and our own ICMR, have published guidelines on managing your diet in diabetes, which we at FWI analyzed to formulate our advice for diabetics, which you will find below:
The three most important considerations in diet management in diabetic people are:
Managing the carbohydrate intake to control blood sugar
Managing the overall calorie intake to lose weight or to maintain a healthy weight
Keeping the intake bad fats and salt in check to reduce the risk of CVD
1. Managing the carbohydrate intake to control blood sugar
Diabetes is a primarily a disease of insulin resistance or insulin deficiency, in which the physiological action of insulin, that of helping in uptake of blood glucose by body cells and thereby keeping the blood sugar levels in control, is less than adequate. All dietary carbohydrates are broken down by our digestive system into glucose, which then is added to the blood. Therefore, the most important consideration to prevent or delay complications of diabetes is keeping the blood sugar levels in control
Diabetics have to know their carb containing food very well and monitor their carb intake on regular basis, but they are not required to give up totally on sugar, rice or sweets, contrary to what is the general notion!
Same amount of carbs whether as whole grains or table sugar, will raise the Post Prandial (two hours post meal) blood sugar to nearly the same level, so substituting regular roti with say a laddoo, once in a while is OK, provided you make sure that laddoo gives the same amount of carbs as the rotis you have given up and your overall calorie intake in the meal is constant as well. This you can manage by portion size control and carb counting
But having laddoos instead of roti regularly is not a good idea because good sources of carbohydrates such as whole grains have proteins, dietary fiber, vitamins and minerals in addition, whereas bad sources such as table sugar or laddoo will not have these and will give you empty calories. Also, these sweets will be more calorie-dense (1 tablespoon sugar gives 60 calories whereas one roti gives nearly 80 calories) and will not be very filling!
So, if you want to have simple sugar or sweets occasionally, make sure that you replace the healthy carbs with these sweets, such that same amount of calories and carbs are provided by them and don’t just add sweets to your regular meal
Remember, quantity control and moderation are absolutely imperative!
2. Managing the overall calorie intake to lose or maintain a healthy weight
Losing excess body weight helps in patients with diabetes in several ways. Besides this will help you in controlling your risk of heart diseases and a host of other diseases at the same time!
In diabetes, even losing 3-5% of your existing body weight will result in better blood sugar levels, but losing up to 10% results in better blood lipid profile and reduced risk of heart disease
To know more, go to ‘weight loss for diabetics’ and read your way into fitness!
3. Keeping the intake of ‘bad’ fats and salt in check to reduce the risk of CVD
The complications of CVD, include heart attack, stroke (brain attack), foot gangrene etc. All complications of CVD, which is the biggest cause of death in diabetics
Therefore, dietary modifications to manage risk factors for CVD are very important in diabetics. These modifications include controlling the intake of salt and ‘bad’ fats in your diet, and the recommended levels of intake are lower than those in general population
Diabetics in general are often advised even by their doctors and dieticians, some times, to consume ‘low fat’ diet to manage their heart risk. But In India, where average intake of carbs is much higher than recommended intake of fat, for most people, such an advice is not only erroneous, it is harmful! (Read: Indian diet: ‘pro’s and ‘con’s, to know more)
Instead what is needed is to replace the ‘bad’ fats, present in high quantities in vanaspati (found in snack items and restaurant/ fast food meals etc.), full cream milk, butter, ghee and red meat (but not mutton: read more), with vegetable oils (such as olive, canola, rice bran etc. But not coconut and palm oil)

If you have type 2 diabetes and your blood sugar levels are racing up and down like a roller coaster, it's time to get off the ride. Big swings in your blood sugar can make you feel lousy. But even if you aren't aware of them, they can still increase your risk for a number of serious health problems. By making simple but specific adjustments to your lifestyle and diet, you can gain better blood-sugar control.
Your body uses the sugar, also known as glucose, in the foods you eat for energy. Think of it as a fuel that keeps your body moving throughout the day.

Gout, a painful form of arthritis, occurs when high levels of uric acid in the blood cause crystals to form and accumulate around a joint.
Uric acid is produced when the body breaks down a chemical called purine. Purine occurs naturally in your body, but it's also found in certain foods. Uric acid is eliminated from the body in urine.
A gout diet may help decrease uric acid levels in the blood. While a gout diet is not a cure, it may lower the risk of recurring painful gout attacks and slow the progression of joint damage. Medication also is needed to manage pain and to lower levels of uric acid.
Purpose
Diet details
The general principles of a gout diet are essentially the same as recommendations for a balanced, healthy diet:
Weight loss. Being overweight increases the risk of developing gout, and losing weight lowers the risk of gout. Research suggests that reducing the number of calories and losing weight — even without a purine-restricted diet — lowers uric acid levels and reduces the number of gout attacks. Losing weight also lessens the overall stress on joints.
Complex carbs. Eat more fruits, vegetables and whole grains, which provide complex carbohydrates. Avoid foods such as white bread, cakes, candy, sugar-sweetened beverages and products with high-fructose corn syrup.
Water. Keep yourself hydrated by drinking water. An increase in water consumption has been linked to fewer gout attacks. Aim for eight to 16 glasses of fluids a day with at least half of that as water. A glass is 8 ounces (237 milliliters). Talk to your doctor about appropriate fluid intake goals for you.
Fats. Cut back on saturated fats from red meats, fatty poultry and high-fat dairy products.
Proteins. Limit daily proteins from lean meat, fish and poultry to 4 to 6 ounces (113 to 170 grams). Add protein to your diet with low-fat or fat-free dairy products, such as low-fat yogurt or skim milk, which are associated with reduced uric acid levels.
Recommendations for specific foods or supplements include the following:
High-purine vegetables. Studies have shown that vegetables high in purines do not increase the risk of gout or recurring gout attacks. A healthy diet based on lots of fruits and vegetables can include high-purine vegetables, such as asparagus, spinach, peas, cauliflower or mushrooms. You can also eat beans or lentils, which are moderately high in purines but are also a good source of protein.
Organ and glandular meats. Avoid meats such as liver, kidney and sweetbreads, which have high purine levels and contribute to high blood levels of uric acid.
Selected seafood. Avoid the following types of seafood, which are higher in purines than others: anchovies, herring, sardines, mussels, scallops, trout, haddock, mackerel and tuna.
Alcohol. The metabolism of alcohol in your body is thought to increase uric acid production, and alcohol contributes to dehydration. Beer is associated with an increased risk of gout and recurring attacks, as are distilled liquors to some extent. The effect of wine is not as well-understood. If you drink alcohol, talk to your doctor about what is appropriate for you.
Vitamin C. Vitamin C may help lower uric acid levels. Talk to your doctor about whether a 500-milligram vitamin C supplement fits into your diet and medication plan.
Coffee. Some research suggests that moderate coffee consumption may be associated with a reduced risk of gout, particularly with regular caffeinated coffee. Drinking coffee may not be appropriate for other medical conditions. Talk to your doctor about how much coffee is right for you.
Cherries. There is some evidence that eating cherries is associated with a reduced risk of gout attacks.
A sample menu
Here's a look at what you might eat during a typical day on a gout diet:
Breakfast
Whole-grain, unsweetened cereal with skim or low-fat milk
1 cup fresh strawberries
Coffee
Water
Lunch
Roasted chicken breast slices (2 ounces) on a whole-grain roll with mustard
Mixed green salad with balsamic vinegar and olive oil dressing
Skim or low-fat milk
Water
Afternoon snack
1 cup fresh cherries
Water
Dinner
Roasted salmon (3-4 ounces)
Roasted or steamed green beans
1/2 cup whole-grain pasta with olive oil and lemon pepper
Water
Low-fat yogurt
1 cup fresh melon
Caffeine-free beverage, such as herbal tea
Dos and do nots
Uric acid: Manage high uric acid with nutrition tip #1
High-fibre foods
According to the University of Maryland Medical Center, adding foods high in dietary fibre may help lower uric acid levels in your blood. Dietary fibre may help absorb uric acid in your bloodstream, allowing it to be eliminated from your body through your kidneys. Increase the consumption of dietary soluble fibres such as Isabgol, Oats, Spinach, Broccoli to name few.
Uric acid: Manage high uric acid with nutrition tip #2
Cold-pressed olive oil
Use cold-pressed olive oil in cooking instead of shortening, butter or vegetable oils. Oils that have been subjected to heat or processing turn rancid quickly. Rancid fats destroy vitamin E in your body - this vitamin is necessary for controlling uric acid levels. Olive oil helps you avoid the production of excess uric acid, which is associated with the consumption of rancid fats.
Uric acid: Manage high uric acid with nutrition tip #3
Take in a healthy dose of vitamin C
To help reduce the amount of uric acid in your system, regularly taking 500 milligrams of vitamin C will decrease your uric acid levels in a month or two.
Uric acid: Manage high uric acid with nutrition tip #4
Avoid bakery products
Avoid cakes, pastries, cookies and other sugary delights which are rich in saturated fats and trans fats.
Uric acid: Manage high uric acid with nutrition tip #5
Celery seed extract
This is also a popular natural remedy for gout and uric acid problems. The seeds of the celery plant have long been used to treat gout, rheumatism and arthritis. Celery possesses sedative, antioxidant and mild diuretic action and is considered a urinary antiseptic. In rare cases, this herb is also used to treat sleeplessness, anxiety and nervous breakdown. Although the seeds of this plant are often used in herbal supplements, the roots may also be used.
Uric acid: Manage high uric acid with nutrition tip #6
Antioxidant-rich foods
Fruits and vegetables such as red bell peppers, tomatoes, blueberries, broccoli and grapes are rich sources of antioxidant vitamins. Antioxidants which are vitamins that prevent free radical molecules from attacking your organ and muscle tissue cells may help lower uric acid levels.
Uric acid: Manage high uric acid with nutrition tip #7
Cherries
Cherries contain chemical compounds that may help neutralise uric acid allowing your body to eliminate this acid as waste. Some researchers recommend consuming 30 to 40 cherries every four hours during an attack.
Uric acid: Manage high uric acid with nutrition tip #8
Apple cider vinegar
It is believed that raw, apple cider vinegar can help alleviate high uric acid levels by changing the pH values of your blood. But it has to be raw, un-distilled, un-pasteurised apple cider vinegar; the kind you get from your local health food store. Dr. Sharad advices a simple home remedy" Add 2 teaspoons of vinegar to a large glass of water and stir thoroughly. Drink a glass between 2 and 3 times every day. You can also use it topically: half a cup added to three cups of hot water and soak the affected area for 30 minutes. Reheat and repeat as necessary.
Uric acid: Manage high uric acid with nutrition tip #9
Saturated fat, trans fat, sugar and alcohol
All these affect your triglycerides, a type of fat that can clog your arteries and increase your risk for heart attacks and strokes.
Uric acid: Manage high uric acid with nutrition tip #10
High-fructose corn syrup
This is a type of sweetener in soft drinks and other processed foods that can elevate your levels of triglyceride and uric acid - a chemical associated with diabetes, gout, alcoholism, kidney disease and other health problems.
Uric acid: Manage high uric acid with nutrition tip #11
Drink plenty of fluids to help flush uric acid from your body
Drink a minimum of 3 and 1/2 liters of water daily. Water is a medium that aids the kidney to'strain' the impurities from your body.
Uric acid: Manage high uric acid with nutrition tip #12
Also avoid high-protein weight-loss diets which can cause you to produce too much uric acid (hyperuricemia).
Uric acid: Manage high uric acid with nutrition tip #13
Limit meat, poultry and fish - animal proteins are high in purine and this will result in high uric acid levels in the body
Uric acid: Manage high uric acid with nutrition tip #14
Limit or avoid alcohol
Alcohol interferes with the elimination of uric acid from your body. Drinking beer in particular has been linked to gout attacks. If you are prone to uric acid attacks, limit alcohol consumption to one drink three times a week.
Uric acid: Manage high uric acid with nutrition tip #15
Choose complex carbohydrates
Eat more whole grains, fruits and vegetables and fewer refined carbohydrates such as white bread, cakes and candy. Because foods rich in complex carbohydrates promote feelings of fullness, and prevent overeating and are useful in maintaining a healthy weight.

uric acid is produced when the body breaks down a chemical called purine. Purine occurs naturally in your body, but it's also found in certain foods. Uric acid is eliminated from the body in urine.
A gout diet may help decrease uric acid levels in the blood. While a gout diet is not a cure, it may lower the risk of recurring painful gout attacks and slow the progression of joint damage. Medication also is needed to manage pain and to lower levels of uric acid.
Purpose
a little history uric acid: manage high uric acid with nutrition saturated fat, trans fat, sugar and alcohol
all these affect your triglycerides, a type of fat that can clog your arteries and increase your risk for heart attacks and strokes.
Uric acid: manage high uric acid with nutrition high-fructose corn syrup
this is a type of sweetener in soft drinks and other processed foods that can elevate your levels of triglyceride and uric acid - a chemical associated with diabetes, gout, alcoholism, kidney disease and other health problems.
Uric acid: manage high uric acid with nutrition drink plenty of fluids to help flush uric acid from your body
drink a minimum of 3 and 1/2 liters of water daily. Water is a medium that aids the kidney to'strain' the impurities from your body.
Uric acid: manage high uric acid with nutrition
also avoid high-protein weight-loss diets which can cause you to produce too much uric acid (hyperuricemia).
Uric acid: manage high uric acid with nutrition limit meat, poultry and fish - animal proteins are high in purine and this will result in high uric acid levels in the body
uric acid: manage high uric acid with nutrition t
limit or avoid alcohol
alcohol interferes with the elimination of uric acid from your body. Drinking beer in particular has been linked to gout attacks. If you are prone to uric acid attacks, limit alcohol consumption to one drink three times a week.
Uric acid: manage high uric acid with nutrition t
choose complex carbohydrates
eat more whole grains, fruits and vegetables and fewer refined carbohydrates such as white bread, cakes and candy. Because foods rich in complex carbohydrates promote feelings of fullness, and prevent overeating and are useful in maintaining a healthy weight.

Yes
if you have type 2 diabetes and your blood sugar levels are racing up and down like a roller coaster, it's time to get off the ride. Big swings in your blood sugar can make you feel lousy. But even if you aren't aware of them, they can still increase your risk for a number of serious health problems. By making simple but specific adjustments to your lifestyle and diet, you can gain better blood-sugar control.
Your body uses the sugar, also known as glucose, in the foods you eat for energy. Think of it as a fuel that keeps your body moving throughout the day.
Blood sugar highs and lows

These medications help lower blood glucose by assisting the body with breaking down starchy foods and table sugar. For the best results, they’re taken before meals. Options include:
Acarbose (Precose)
Miglitol (Glyset)
Biguanides
&
Morphine is the strongest.

If you have type 2 diabetes and your blood sugar levels are racing up and down like a roller coaster, it's time to get off the ride. Big swings in your blood sugar can make you feel lousy. But even if you aren't aware of them, they can still increase your risk for a number of serious health problems. By making simple but specific adjustments to your lifestyle and diet, you can gain better blood-sugar control.
Your body uses the sugar, also known as glucose, in the foods you eat for energy. Think of it as a fuel that keeps your body moving throughout the day.
Blood sugar highs and lows